Patients with Bacterial Diarrhea Treated at Nongboonmak Hospital, Nakornrhachasima

Abstract

Objective: To study the cause of bacterial diarrhea, the percentage of positive stool culture that sent to medical laboratories and sensitivity to antibiotic from patients with acute diarrhea treated at Nongboonmak Hospital, Nakornrhachasima during 1 April 2005 - 31 March 2007.
Research Design: Retrospective study
Method: Data were collected from the medical record of all patient with acute diarrhea at Nogboonmak Hospital, Nakornrhachasima during 1 April 2005 - 31 March 2007.
Result: There were 3,653 cases of acute diarrhea patients during the period of study, 1,022 cases (27.98%) were hospitalized. The percentage of positive stool culture was 22.4% in hospitalized patients and 4.1% in ambulatory patients. Vibrio parahaemolyticus contributed 51% of positive stool culture. While Acinetobacter hydrophila and Vibrio cholera (Inba) minicus were found 20% and 8% respectively. The positive cultures were sensitive to Norfloxacin (40.1%), Cefotaxime (20.4%) and Ciprofloxacin (8.3%). There was no difference of antibiotic prescription rate between positive and negative stool culture groups.
Conclusion: Vibrio parahaemolyticus is the most common cause of infective diarrhea at Nongboonmak Hospital. The percentage of positive stool culture was 26.5% and sensitivity result shown slightly sensitive to Norfloxacin (40.1%)
Keywords: Diarrhea, Bacteria